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Condom use in multi-partnered females
H M Tawk1, J M Simpson, A Mindel
1Sexually Transmitted Infections Research Centre, The University of Sydney, Marian Villa, Westmead Hospital, Westmead, NSW 2145, Australia.
International Journal of STD & AIDS
|June 10, 2004
Summary
Many women with multiple sexual partners do not consistently use condoms. Health promotion efforts should target these women to reduce sexually transmitted infections.
Area of Science:
- Sexual health
- Public health
- Epidemiology
Background:
- Many women attending sexual health clinics have multiple partners.
- Understanding factors associated with condom use is crucial for health promotion strategies to reduce sexually transmitted infections (STIs).
Purpose of the Study:
- To determine factors associated with condom use among women attending sexual health clinics.
- To identify subgroups of women who may benefit from targeted health promotion interventions.
Main Methods:
- Demographic and sexual data were collected from computerized records at the Sydney Sexual Health Centre between 1991 and 1999.
- A cohort of 2198 women with more than two sexual partners were analyzed.
- Chi-squared tests and logistic regression were used to compare condom use patterns and identify associated factors.
Main Results:
- Among 2198 women, 22% reported no condom use, 28% consistent use, and 50% inconsistent use in the last three months.
- Older age and being in a regular relationship were independently associated with failure to use condoms.
- Women with more sexual partners were more likely to use condoms. Students and employed women showed higher condom use rates compared to unemployed women.
Conclusions:
- Inconsistent condom use is prevalent among multi-partnered women attending sexual health clinics.
- Targeted health promotion strategies focusing on multi-partnered women who do not consistently use condoms are needed to reduce STI transmission.
- Employment and student status are associated with higher rates of condom use.